Volunteer Group Application General Group Information Group/Organization Name: ______________________________________________________ Group Leader Name:____________________________________________________________ Group Leader Primary Phone: _______________ E-mail: _____________________________ Group Service Information Number of Participants*: ______________ How many are: Age 10-17 _______________ Age 18+ _______________ How many of those 18+ are chaperones? ________________ Do any of your volunteers have any special needs, i.e. must be sitting for the entire shift, must be working indoors, etc.? (Circle one) Y N If yes, please explain: _____________________________________________________________________________ *All volunteers participating must fill out the waiver found on page 3 before they can volunteer. If a volunteer is under the age of 18, they must also have a parent or legal guardian sign the waiver. Waivers may be brought on the day of your service. Shift Details Please list, in order of preference, two (2) dates your group would like to volunteer with us. Please be aware that most Saturdays fill up months in advance. First Choice: ______/________/_____________ Shift time (circle all available times): Mon.—Sat. 9:00 AM—12:00 PM 12:00 PM—3:00 PM 3:00 PM—6:00 PM Sun. 10:00 AM—1:00 PM 1:00 PM—4:00 PM Second Choice: ______/________/_____________ Shift time (circle all available times): Mon.—Sat. 9:00 AM—12:00 PM 12:00 PM—3:00 PM 3:00 PM—6:00 PM Sun. 10:00 AM—1:00 PM 1:00 PM—4:00 PM Please submit the completed form at www.communityfoodoutreach.org/volunteer/ Page 1 Volunteer Group Application Group Processing Guidelines 1. All paperwork is due at least seven (7) days before your scheduled volunteer date. If paperwork is not received by the appropriate deadline, Community Food & Outreach Center reserves the right to cancel the day of service. 2. The volunteer group leader must be present during the volunteer experience. 3. All volunteers must adhere to the Community Food & Outreach Center’s policies, procedures, and Code of Conduct. Failure to adhere could result in early dismissal of the entire group. 4. The Volunteer Service department will contact the group leader the day before the scheduled volunteer shift and confirm. Volunteer Policy 1. Group leaders, volunteers, and chaperones are to respect and follow the instructions of the Community Food & Outreach Center’s staff at all times. 2. Group leaders and chaperones must be at least 18 years of age, and will actively supervise the volunteer group members. 3. CFOC reserves the right to cancel volunteer group or individual participation for any reason, including, without limitation, failure by that group leader or group members to comply with the policies listed here, the volunteer requirements listed below or any other actions deemed inappropriate. 4. All volunteers in the group must be 10 years of age or older by date scheduled to volunteer. Volunteer Requirements Volunteers will check in at the front desk inside the Cost Share Grocery Program entrance. All volunteers must fill out a nametag and are required to wear them for the duration of the shift. Volunteers must be wearing closed toed shoes, long shorts or pants, and a plain or appropriate t-shirt. Sleeveless shirts are not permitted for food safety reasons. Hats and headphones/ear buds of any type are not permitted. If this dress code is not met, CFOC reserves the right to not allow the individual the begin work until the specific issue is remedied. Volunteers must refrain from smoking or using smokeless tobacco products while on the CFOC campus. Volunteers must refrain from the use of alcohol or illegal drugs while volunteering. Please keep personal belongings locked in your vehicle. CFOC does not have a secure storage space and is not liable for any lost, stolen or damaged items. Parking for all volunteers is located in the south parking lot on Joseph Street. This is a small lot, so please attempt to carpool if possible. It is surrounded by a large, white iron fence. There is also enough room for large buses, but we must be notified of the bus in advance. Be sure your entire group is on time. CFOC will begin the volunteer experience no later than five (5) minutes after the scheduled shift time. The volunteer group leader understands and agrees to all of the guidelines, policies, and procedures outlines above: Group leader’s name (please print): ________________________________________________ Group leader’s signature:________________________________ Date: ____/_____/________ Please submit the completed form at www.communityfoodoutreach.org/volunteer/ Page 2 Volunteer Group Application Volunteer Work Agreement Waiver—All volunteers in the group must sign and return As a volunteer of the Community Food & Outreach Center, I hereby agree to hold harmless and waive any and all claims or causes of action against Kingdom Harvest, Inc. dba Community Food & Outreach Center arising out of any cause whatsoever, including but not limited to claims arising out of negligence or intentional conduct of its employees of agents. I attest that I am physically fit and prepared to perform the tasks assigned to me as a Community Food & Outreach Center volunteer. I further agree to use my personal insurance as the primary provider in the event of injury due to my work as a volunteer of Community Food & Outreach Center. I shall not operate a personal vehicle for volunteer activities unless I have at least the minimum amount of liability insurance as required by Florida law. Community Food & Outreach Center is not responsible for loss or damage to volunteers’ personal property. I grant permission to allow my picture to be used in marketing materials created by Community Food & Outreach Center. I have read, understand and agree to the above policies, safety and emergency procedures and waivers: Volunteer Name (Please Print): _____________________________________________ Volunteer signature: ___________________________________________ (If under 18, signature of parent or legal guardian is required.) Date_______________ Group Name: ___________________________________________ Email address: ________________________________________________ If volunteer is under the age of 18: Parent/Legal Guardian Name (Please Print): ___________________________________ Parent/Legal Guardian Signature: _________________________________ Please submit the completed form at www.communityfoodoutreach.org/volunteer/ Page 3
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